Senior Claims Professional

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Senior Claims Professional based in the United States.

The Senior Claims Professional will play a key role in investigating, evaluating, negotiating, and resolving complex casualty and professional liability insurance claims. This position offers responsibility for managing the entire claims lifecycle, from initial investigation and coverage assessment through litigation, negotiation, and final resolution. The successful candidate will handle a diverse portfolio of claims involving small and medium-sized businesses, financial institutions, insurance brokers, and other professional service providers. Working with insurance carriers, brokers, underwriters, external experts, and legal counsel, you will develop effective strategies to achieve favorable claims outcomes. The role also involves identifying emerging risks, assessing liability exposure, and implementing proactive approaches to claims management. This is an excellent opportunity for an experienced claims professional seeking autonomy, professional responsibility, and the flexibility of a fully remote position within a collaborative national team.

Accountabilities:

• Manage casualty and professional liability claims throughout the entire claims lifecycle, from initial notification and investigation through negotiation, litigation, and final resolution.
• Investigate and evaluate claims involving small and medium-sized businesses, including insurance brokers, real estate professionals, accountants, and financial institutions.
• Develop and implement independent claims strategies to achieve effective, timely, and commercially sound resolutions.
• Conduct comprehensive investigations, analyze available evidence, and assess liability, damages, and policy coverage to determine potential exposure.
• Review insurance policies and contractual provisions, interpreting coverage terms and preparing detailed coverage analyses based on the circumstances of each claim.
• Lead negotiations and utilize alternative dispute resolution methods to secure favorable outcomes while managing litigation exposure.
• Attend mediations, trials, and other legal proceedings as necessary to support effective claims resolution.
• Manage high-severity and complex claims, applying advanced technical expertise and sound judgment to minimize financial exposure and protect insured interests.
• Collaborate with internal and external stakeholders, including insurance carriers, brokers, underwriters, outside legal counsel, and specialist experts.
• Maintain strong relationships with clients and business partners, ensuring clear communication and effective coordination throughout the claims process.
• Identify emerging risks, recurring claims patterns, and potential liability exposures, recommending appropriate strategies and improvements.
• Apply industry best practices and technical claims expertise to improve case management, negotiation outcomes, and overall claims performance.
• Exercise independent decision-making and maintain accountability for claim outcomes across a territory covering the United States and selected international markets.

Requirements:

• At least 4 years of professional claims handling experience.
• Minimum of 4 years of experience specifically handling casualty and professional liability claims.
• Undergraduate degree or Paralegal Certificate.
• Demonstrated ability to manage claims independently from inception through resolution, including investigation, coverage evaluation, negotiation, and litigation management.
• Proven track record of achieving favorable outcomes on high-severity claims through effective investigation, negotiation, and litigation strategy.
• Expert knowledge of insurance coverage principles and policy interpretation within the relevant claims specialty.
• Strong understanding of liability assessment, damages evaluation, coverage analysis, and claims exposure management.
• Experience working with insurance carriers, brokers, underwriters, external experts, and legal counsel.
• Excellent written and verbal communication skills, with the ability to present complex claims assessments and negotiate effectively with multiple stakeholders.
• Advanced analytical and problem-solving abilities, with strong attention to detail and sound professional judgment.
• Ability to work independently, manage competing priorities, and make informed decisions in a fast-paced claims environment.
• Strong organizational skills and the ability to maintain effective case management practices across a diverse claims portfolio.
• Willingness and ability to obtain the required insurance adjuster license within 90 days of employment.

Benefits:

• Competitive annual salary: $79,500–$97,000, depending on qualifications and professional experience.
• Performance-based compensation: Eligibility for additional bonus compensation.
• Comprehensive healthcare coverage: Medical, dental, and vision insurance.
• Retirement savings: 401(k) program with employer matching contributions.
• Paid time off: Access to paid leave to support work-life balance.
• Life insurance: Financial protection and coverage options.
• Flexible spending accounts (FSA): Access to healthcare and other eligible spending arrangements.
• Long-term disability coverage: Financial protection in the event of qualifying long-term disability.
• Employee Assistance Program (EAP): Access to support services and resources for personal and professional well-being.
• Fully remote working arrangement: Flexibility to work from anywhere within the United States.
• Professional autonomy: Opportunity to manage claims independently and take ownership of complex case strategies.
• International exposure: Potential involvement in claims across the United States and selected international markets.
• Collaborative environment: Work alongside experienced legal, insurance, and claims professionals within a high-performing national team.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

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